Individual
DR. MICHAEL J MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 ETHEL RD, BUILDING 103, SUITE B, EDISON, NJ 08817-2838
(732) 977-6623
Mailing address
28 SWIMMING RIVER RD, LINCROFT, NJ 07738-1743
(732) 530-4752
(732) 530-4752
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
25MA07546400
NJ
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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